Seniorcare Mobile Dentistry in Saint Clair Shores - Skilled Nursing Facility
Seniorcare Mobile Dentistry - NPI 1457476053
Seniorcare Mobile Dentistry is a Skilled Nursing Facility in Saint Clair Shores, Michigan. Seniorcare Mobile Dentistry practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Seniorcare Mobile Dentistry is 1457476053. The last update date is 2020-08-22.
Seniorcare Mobile Dentistry's current location address is 22540 Harper Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5864451802. The mailing address for Seniorcare Mobile Dentistry is 22540 Harper Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seniorcare Mobile Dentistry |
|---|---|
| Address | 22540 Harper Ave, Saint Clair Shores, Michigan |
| Phone Number | 5864451802 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jerger William Thomas |
| Credentials | D.D.S. |
| Telephone Number | 5864452320 |
NPI Number Detail
| NPI Number | 1457476053 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22540 Harper Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480802941 |
| Phone Number | 5864451802 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2901013471 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4068883 | MI | -- |
Post Comment/ Review Below
What is the Seniorcare Mobile Dentistry's unique identification number?
The Seniorcare Mobile Dentistry has been assigned the NPI (National Provider Identifier) Number 1457476053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Seniorcare Mobile Dentistry?
The Seniorcare Mobile Dentistry is situated at 22540 Harper Ave, in the city of Saint Clair Shores, state of MI, with the zip code 480802941.
What is Seniorcare Mobile Dentistry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Seniorcare Mobile Dentistry is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
When was the Seniorcare Mobile Dentistry's 1457476053 issued?
The Seniorcare Mobile Dentistry's 1457476053 was issued on 2007-03-20.
When was the information pertaining to Seniorcare Mobile Dentistry most recently updated or revised?
The details related to Seniorcare Mobile Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.